Individual
NGUYEN PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1914 SWIFT AVE, KANSAS CITY, MO 64116-3447
(816) 221-1603
Mailing address
1914 SWIFT AVE, KANSAS CITY, MO 64116-3447
(816) 221-1603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021032981
MO
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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